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Huge caudate lobe of the liver due to Budd-Chiari syndrome

Yuta Kikuchi1, Hiroshi Yoshida, Yasuhiro Mamada

  • 1Surgery for Organ Function and Biological Regulation, Graduate School of Medicine, Nippon Medical School, Tokyo, Japan.

Journal of Nippon Medical School = Nippon Ika Daigaku Zasshi
|January 6, 2011
PubMed

Insights

Budd-Chiari syndrome can cause an enlarged liver caudate lobe. This case study details a patient treated for gastric varices, highlighting successful management of hepatic venous outflow obstruction.

Area of Science:

  • Hepatology
  • Vascular Surgery
  • Gastroenterology

Background:

  • Budd-Chiari syndrome involves hepatic venous outflow obstruction.
  • Idiopathic portal hypertension can lead to liver deformities and varices.
  • Enlarged gastric varices necessitate treatment to prevent complications.

Observation:

  • A patient presented with solitary gastric varices and a significantly enlarged liver caudate lobe.
  • Imaging revealed hepatic vein obstructions and scars, characteristic of Budd-Chiari syndrome.
  • The caudate lobe's drainage vein was dilated, while other hepatic veins showed no atrophy.

Findings:

  • The diagnosis was Budd-Chiari syndrome with solitary gastric varices.
  • The enlarged caudate lobe was a key feature associated with the hepatic venous outflow obstruction.
  • No inferior vena cava obstruction was detected, differentiating from other venous conditions.

Implications:

  • This case demonstrates a rare presentation of Budd-Chiari syndrome with caudate lobe enlargement.
  • Successful treatment of gastric varices was achieved using balloon-occluded retrograde transvenous obliteration and splenic embolization.
  • The findings underscore the importance of comprehensive imaging in diagnosing complex hepatic vascular conditions.

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